Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,594.06 / $7,119.04	Facility		$2,906.00	$4,594.06	$7,119.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $344.02 / $935.38	Professional		$183.31	$344.02	$935.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $522.59 / $4,871.77	Facility		$331.03	$522.59	$4,871.77
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,716.72 / $3,716.72 / $3,716.72	Facility	52	$3,716.72	$3,716.72	$3,716.72
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $929.18 / $929.18 / $929.18	Facility	53	$929.18	$929.18	$929.18
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,903.69 / $2,903.69 / $2,903.69	Facility	62	$2,903.69	$2,903.69	$2,903.69
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $464.59 / $464.59 / $464.59	Facility	AS	$464.59	$464.59	$464.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $363.36 / $589.77 / $1,622.05	Facility		$363.36	$589.77	$1,622.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00